Medical Billing Blogs

  Pre- and post-COVID19 has brought in many changes in ICD 10 codes of all healthcare specialties where few changes have also been made specific to OB/GYNs. There are also several important general changes that gynecologists need to be aware of because keeping coding updates handy helps physicians to document patient history, records correctly,       and make sure OB-GYN Medical Billing is properly handled and reimbursements are received on time for the range of services provided. Here are some important ICD-10-CM code changes for gynecologists to note: #1: T81.4: Post-operative Infections Based on different types of surgical procedures, eighteen new codes have been assigned for infections or sepsis, and newly, the coding system has now categorized the visits into three types-initial, follow-up, or sequela. For example, the code T81.43XD relates to an infection following a procedure, at an organ and space surgical site, and in a subsequent encounter....

  Denied claims can be challenging to handle for the behavioral health practitioners who take insurance. “You really did a great job in therapy services, but we are not giving you any penny for it!” When it comes to personal billing, preventing denied claims can be one of the time savers. You cannot spend more time ensuring whether you are filing the correct thing unless you are filing enough. It is also not worth the time and effort to see a patient multiple times, wait for the billing until the end of the month, and then file only to realize that these patients are not even eligible for behavioral health benefits. How would you feel when you find out after a month-long service that these patients have an outstanding deductible or that your practice is not within their network and only reimburse the within-network providers? Even worse: your patients are thoroughly covered, but your practice information does not match the insurance company's information. Oops! This ar...

  Urgent care practices like yours are thriving since you have a decent patient volume with positive reviews online, and you are providing evidence-based, compassionate care however, you are still not what you expect with your profit margins. If your revenue is still water, there is something wrong with your billing process. A lot of Urgent Care providers struggle to maintain their practice profits until they decide to outsource their medical billing process . Let us understand the basics of urgent care billing and how you can boost your practice revenue with just a few changes in your processes. How does urgent care practice medical billing work? With not much difference between primary care and emergency room practice, urgent care clinics are important or emergency rooms are playing an important role in our healthcare system. That's why they’re increasing in popularity and are expected to be worth $26 billion by 2023. To have your fair share on the market, you need to have...

  The ambulatory surgical center (ASC) market has seen rapid growth in the last few years. Increasing health costs along with insurance limitations are turning more people towards the outpatient setting when it comes to quality surgery at an affordable cost.  Outsourcing ASC medical billing  can help you address your financial concerns and also increase your profit rates. However, as per the recent reports, the ASCs are constantly facing many challenges when it comes to improving their revenue generation. Cancellations One of the major causes of concern has been the cancellations. High costs of elective surgeries often keep the patients away from rescheduling if a surgery gets canceled. Same-day cancellations of the scheduled surgeries can often negatively impact your finances since you wouldn’t be able to fill the open OR with another surgery. But that doesn’t stop the labor and the overhead costs for your practice. ASCs must identify the cancellation causes and ta...

  Medical billing has been helping people enhance their financial performance for years. You don't need to work by yourself if you have goals that are beyond your reach; eventually, you will end up wasting more time and money than you can imagine. Medical billing outsourcing helps everyone become an efficient company with the highest quality. Choose the right company to increase your chances of achieving those goals. Once you start looking for a medical billing company that, you have so many options on the tap. How can you get the right company that will help you with this? Here are some tips for your practice to choose the right medical billing agency. 1. Ask if they support throughout the complete billing cycle While choosing the right medical billing company, you need to ask if they provide support throughout the complete revenue cycle management - before a patient's appointment to the final reimbursement for its claims. The vendor you select must be an expert in ever...

  Pharmacy Medical billing errors are prevalent in practices and can be easily made. But, they do have repercussions on the overall profit of a healthcare organization. The American Medical Association  states that errors in medical coding fall under the broad category of fraud and abuse. So said, the former means “intentional misrepresentation” and later is “the falsification was an innocent mistake.” Medical coding and pharmacy billing  are complicated processes that depend on the patient, insurer, and procedures. Even the most honest financial departments experience claim denials. But knowing these blunders beforehand can help you take steps to avoid them. Here are the ten most common blunders in pharmacy billing.  Invalid prescription Pharmacy benefit managers have access to your prescription claims to identify the claims that don’t meet legal regulatory or industry-established standards. One of the top reasons where pharmacy claims are denie...